CRYSTAL ROSE WYNN (NPI# 1396215901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396215901 |
| Entity Type | Individual |
| Full Name | CRYSTAL ROSE WYNN |
| Practice Address |
193 Frederick St Apt 1l Lexington OH 44904-1247 |
| Practice Telephone | 4194963727 |
| Mailing Telephone | 4194963727 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063933471 | Crystal Wynn | Driver | 7445 Robinson Ferry Rd, White Plains, VA 23893-2101 | 2017-07-06 |
| Street Address |
193 FREDERICK ST APT 1L |
| City | LEXINGTON |
| State | OH |
| Zip Code | 44904-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1285970871 | Carrie Ann Northover | Licensed Practical Nurse | 9288 State Route 314, Mansfield, OH 44904 | 2012-12-31 |
| 1902035413 | Charme A Carroll | Licensed Practical Nurse | 8235 St Rt 314, Lexington, OH 44904 | 2009-07-06 |
| 1851577076 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 355 East Main Street, Lexington, OH 44904 | 2008-01-17 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1245450220 | Rebecca Annette Eusey | Chore Provider | 91 West Main, Lexington, OH 44904 | 2007-05-01 |
| 1891815148 | Karen Lee Watkins | Licensed Practical Nurse | 780 W Straub Rd, Apt 1a, Mansfield, OH 44904 | 2007-03-30 |
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1427064518 | Cary A Craner | Chiropractor | 2754 Lexington Ave, Lexington, OH 44904 | 2006-07-31 |
| 1073570537 | Christopher E. Shewan | Optometrist | 35 Plymouth St, Lexington, OH 44904 | 2006-04-27 |
| Find all providers in zip 44904 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770144362 | Melony Joy Cunningham | Case Manager/Care Coordinator | 4229 Ridgewater Dr, Lexington, KY 40515-6010 | 2019-06-25 |
| 1689155905 | Cassie Elizabeth Allen | Case Manager/Care Coordinator | 3337 Overbrook Dr, Lexington, KY 40502-3351 | 2018-08-24 |
| 1265939391 | Avia Dozier | Case Manager/Care Coordinator | 162 Boiling Springs Ln, Lexington, SC 29073-7682 | 2018-04-05 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1376927137 | Nicole Lawson | Case Manager/Care Coordinator | 1136 Mount Rushmore Way # A, Lexington, KY 40515-5437 | 2015-07-11 |
| 1649678657 | April Hill | Case Manager/Care Coordinator | 2244 Winterberry Dr # B, Lexington, KY 40504-3241 | 2014-12-08 |
| 1689093866 | Tove Reiman | Case Manager/Care Coordinator | 2401 Plum Creek Pkwy, Lexington, NE 68850-2813 | 2014-04-15 |
| 1801225974 | Ascential Care Partners, LLC | Case Manager/Care Coordinator | 333 West Vine Street, Suite 300, Lexington, KY 40507-1626 | 2013-11-08 |
| 1568702884 | Nicole Renee Morgan-brown | Case Manager/Care Coordinator | 2937 Briggs Pl, Lexington, KY 40511-8874 | 2013-02-22 |
| 1063710317 | Carlos Serna | Case Manager/Care Coordinator | 831 W Maxwell St, Lexington, KY 40508-2525 | 2011-03-10 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.